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Getting Started with TRE
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Getting Started with TRE
Getting Started with TRE
Initial Details
Applicant Details
Document
Initial Details
Initial Intake/Referral
Relationship to Person Being Referred
*
Select
Self
Family/Friend
Guardian/Power of Attorney
Adult Protective Services/Child Protective Services
Hospital/Nursing Facility/Hospice
Provider
Other
What is the applicant's Primary Diagnosis?
*
Does the applicant have a Developmental Disability?
*
Does the applicant have a Developmental Disability?
No
Does the applicant have a Developmental Disability?
Yes
What is the applicant's Developmental Disability?
*
*
Does the applicant have a Mental Health Diagnosis?
*
Does the applicant have a Mental Health Diagnosis?
No
Does the applicant have a Mental Health Diagnosis?
Yes
What is the applicant's Mental Health Diagnosis?
*
*
Does the applicant have a traumatic brain injury that was onset before Age 65?
*
Does the applicant have a traumatic brain injury that was onset before Age 65?
No
Does the applicant have a traumatic brain injury that was onset before Age 65?
Yes
Do you want to receive continued updates on the referral?
Do you want to receive continued updates on the referral?
No
Do you want to receive continued updates on the referral?
Yes
